Barriers to increasing the physical activity of people with intellectual disabilities
Barriers to increasing the physical activity of people with intellectual disabilities
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DOI：
10.1111/bld.12175
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发表时间：
2017-03-01
影响因子：
1.5
通讯作者：
Walley, Robert M.
中科院分区：
文献类型：
--
作者：
Cartwright, Luke;Reid, Marie;Walley, Robert M.
背景：智力残疾者中肥胖、缺乏运动及其相关发病率和死亡率的患病率高于一般人群，这是一个全球关注的问题。这项研究考察了智障人士及其护理人员对锻炼和活动的看法。材料和方法：通过访谈和焦点小组收集定性数据，该小组通过苏格兰国家资助的社区日间中心招募智障人士及其有偿和家庭照顾者。结果：有三个障碍阻碍智障服务使用者经常参与体育活动：(i)照护者接受不活跃的生活方式；（ii）因有薪照顾者偏好和资源限制而限制活动；（iii）家庭照顾者与受薪照顾者之间的沟通问题。障碍是基于有偿和家庭照顾者的假设，因此有可能通过改变态度、改善沟通和将活动重新定义为日常生活不可或缺的一部分来增加活动，而不是作为需要特殊资源的额外锻炼。结论：应支持护理人员以各种方式促进身体活动，以增强服务使用者的动机，鼓励他们将身体活动作为健康生活方式的一个组成部分，并将其转移到日托之外的生活中。
Background: The prevalence of obesity, inactivity and related morbidity and mortality is higher amongst people with intellectual disabilities than in the population in general, an issue of global concern. This research examined the perspectives of people with intellectual disabilities and their carers, on exercise and activity.Materials and Methods: Qualitative data were collected via interviews and a focus group with people with intellectual disabilities and their paid and family carers, recruited via state-funded community-based day centres in Scotland.Results: Three barriers hindered service users with intellectual disabilities from regular involvement in physical activity: (i) acceptance of an inactive lifestyle by carers; (ii) restrictions on activity due to paid carer preferences and resource limitations; (iii) communication issues between family carers and paid carers. Barriers were based on assumptions made by paid and family carers, so there is potential to increase activity by changing attitudes, improving communication and reconceptualising activity as integral to everyday living, rather than as additional exercise requiring special resources.Conclusions: Carers should be supported to promote physical activity in a variety of ways to enhance the motivation of service users, to encourage them to engage with physical activity as an integral part of a healthy lifestyle and to transfer this to their lives beyond day care.